Maybe some of you guys could give me some insights to inspire me the reasons why some psychiatrists are complaining that treating a BPD is notoriously difficult? What makes so difficult into treating someone with BPD?
You can treat an acute episode of mania or psychosis in a relatively short period, just as you can stabilize a decompensated borderline. Either way, the chronic illness (Bipolar/Schizophrenia/Borderline) requires long-term care. To my mind, the immediate reward of a "cure" is best demonstrated by delirium... plus it's always kinda fun to point out what the internist/surgeon missed.whopper said:Yeah--
bipolar mania or psychosis.
If the right med is given--you can have a patient out of the mania or psychosis in hours to about maybe 2-3 days.
I'd call that a quick cure, vs Borderline PD where the therapy can last years.
I'm sure you've gotten the few patients where you can't tell if they're borderline or not (vs an Axis I dx) and by the time you figured out they're BPD, the hospital is ticked off at you for keeping the patient in the unit for 3 days and now since you've dx'd with BPD managed care won't pay for it.
Maybe I'm showing my bias here, but I think the psychiatrist's attitude counts, too. If you go into a situation thinking, "Oh, the pt is BPD, there's nothing I can do for her, she's going to be difficult," then she's probably going to be difficult, and you're probably not going to be able to do anything for her.Anuwolf said:Maybe some of you guys could give me some insights to inspire me the reasons why some psychiatrists are complaining that treating a BPD is notoriously difficult? What makes so difficult into treating someone with BPD?
Maybe I should have said that it's my opinion that psychology is probably a better place for treating BPD? Much more accurate, at any rate. (Note to self: think first, type last...)Doc Samson said:Why?